29D2312309 CLIA NUMBER - MESA RIDGE PHARMACY

Laboratory Demographics

  • CLIA Code: 29D2312309
  • Facility Name: MESA RIDGE PHARMACY
  • Facility Address: 340 FALCON RIDGE PKWY, STE 403
    MESQUITE, NV
    ZIP 89027
  • Facility Phone: 725 253-0103
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN JENSON
  • NPI Number: 1750064622
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 29D2312309
LAB Type Pharmacy
Facility Name MESA RIDGE PHARMACY
Street 340 FALCON RIDGE PKWY, STE 403
City MESQUITE
State NV
ZIP 89027
Phone 725 253-0103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Pharmacy
Lab Director NATHAN JENSON

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This page was last updated on: 9/29/2025